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General NPI Number Information
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NPI Number | 1154094399
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Entity Type | Organization
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Legal Business Name | INTRICATE PIECES, LLC
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Dates
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Enumeration Date | 07/25/2021
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Last Update Date | 09/11/2021
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Provider Practice Location Address
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Address Line | 1526 KATY GAP RD STE 604
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City | KATY
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State | TX
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Zip | 77494-6523
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Country | US
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Telephone | 979-256-7496
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Fax |
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Provider Business Mailing Address
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Address Line | 16635 SPRING CYPRESS RD UNIT 1807
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City | CYPRESS
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State | TX
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Zip | 77429-1713
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Country | US
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Telephone | 979-256-7496
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JADE JONES
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Credential |
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Telephone | 979-256-7496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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